Provider Demographics
NPI:1558949792
Name:BUTLER, ALAURA DAWN (MA PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:ALAURA
Middle Name:DAWN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 WESTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-1145
Mailing Address - Country:US
Mailing Address - Phone:719-214-9592
Mailing Address - Fax:
Practice Address - Street 1:446 WESTWOOD LN
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-1145
Practice Address - Country:US
Practice Address - Phone:719-214-9592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program